Sunday, November 23, 2014
FAIRFIELD-SUISUN, CALIFORNIA
99 CENTS

Understanding your health insurance

By
From page D4 | April 20, 2014 |

April marks the end of California’s first open-enrollment period, during which more than 3 million Californians signed up for new health insurance coverage.

As more Californians gain access to health insurance, however, it is important for consumers to understand how to use their newly acquired insurance.

A 2013 study by the Journal of Health Economics found that many consumers don’t fully understand the details of their health insurance plan. Of those consumers surveyed in the study, only 14 percent were able to explain the differences between basic insurance concepts such as  deductibles and co-pays.

One way consumers can get a better handle on their health insurance policy is by understanding the different types of cost associated with their plan. There are typically four different types of cost included in a health insurance plan: Premiums, co-pays, co-insurance and deductibles. It’s important to factor in all of these different types of costs when picking a plan and using it.

Now, let’s review what some of these terms mean.

A health insurance premium is the amount of money a person pays periodically – usually monthly – to buy an insurance plan. In order to keep your health insurance, you must continue paying this amount for your entire benefit year.

A co-pay or co-insurance is separate from what you pay for your premium. These terms refer to the amount you have to pay out of your own pocket every time you go to the doctor or receive a service. A co-pay is a fixed amount that you pay for a service. For example, the $20 you pay every time you see your doctor would be a type of co-pay. Co-insurance refers to the percentage of the cost of a service that you are responsible for paying. Some plans charge either co-pays or co-insurance, while others may include a combination of the two.

A final type of cost that is important to understand is a deductible. A deductible is the amount a consumer must pay each year before their health insurance will start paying for a portion of their health care costs. For example, if you purchased a plan with a $500 deductible, this means that you will have to pay $500 out of your own pocket in addition to your monthly premium before your health insurance will start paying for you. Before you meet that deductible, you will be responsible for paying the full cost of any services you receive. Co-pays and co-insurance costs will come into effect after you have reached the deductible in the plan you have chosen.

Thankfully, most plans are now required to have an out-of-pocket maximum. This means that there is a limit on how much you are expected to pay out-of-pocket through deductibles, co-pays and co-insurance during the policy year before your insurance will cover 100 percent of your health care costs. Most health plans are also required to cover preventative services and screenings, such as mammograms and pap smears at no cost to you.

While many of these costs may seem overwhelming, especially if you’ve never had health insurance, it’s important to remember that having health insurance can not only protect your health but can also protect you financially in the event of an emergency or unforeseen medical circumstance. Ultimately, this will enable you to take the preventative measures necessary to protect your health today and ensure a healthy future for tomorrow.

Morgan Westfall is a Project Coordinator for the Community Clinic Consortium, which is a partner of the Solano Coalition for Better Health.

Morgan Westfall

LEAVE A COMMENT

Discussion | 1 comment

The Daily Republic does not necessarily condone the comments here, nor does it review every post. Read our full policy

  • mescApril 20, 2014 - 10:02 am

    I'm still waiting for the Socialist Politicians to read the ACA so they will know what's in it. Thank goodness I already understand my health insurance. What I do not understand is any politician's grab at it.

    Reply | Report abusive comment
.

Solano News

Fairfield-Suisun sits between bay, valley

By Barry Eberling | From Page: A1, 4 Comments | Gallery

 
Teens at Boys & Girls Clubs get their own place

By Amy Maginnis-Honey | From Page: C1 | Gallery

Salvation Army gets ready for Thanksgiving

By Susan Hiland | From Page: A1 | Gallery

 
New mobile office adds reach to The Salvation Army

By Susan Hiland | From Page: A1

Time to start a local hall of fame

By Brad Stanhope | From Page: A2

 
Conservancy plans Quail Ridge Walk in December

By Susan Hiland | From Page: A3

Film festival brings people together for good causes

By Susan Hiland | From Page: A3 | Gallery

 
Advance preparation mitigates frost damage

By Kathy Low | From Page: C4

 
Sudden Infant Death awareness and prevention

By Susan Whalen | From Page: C4

Weather for Sunday, Nov. 23, 2014

By Daily Republic staff | From Page: B6

 
 
Two injured in Fairfield shooting

By Ian Thompson | From Page: A12, 4 Comments

.

US / World

Storms raise hope in California drought

By The Associated Press | From Page: A1

 
Gambling nuke commander linked to fake poker chips

By The Associated Press | From Page: A1

Winners and losers under Obama’s immigration plan

By The Associated Press | From Page: A4

 
Kohler introduces odor-eating toilet seat

By The Associated Press | From Page: A5

Civic group: No Ferguson grand jury decision yet

By The Associated Press | From Page: A5

 
WWII mementos found in suitcase at thrift store

By The Associated Press | From Page: A5

 
Hawaii airline tells pilots to return $4,000 bonus

By The Associated Press | From Page: A6

Dogfighting thrives in years since Vick case

By The Associated Press | From Page: A6

 
Man sets house on fire, kills responding deputy

By The Associated Press | From Page: A6

Report: Washington toddler shot playing with gun

By The Associated Press | From Page: A6

 
Police: Pregnant woman, 3 others fatally shot

By The Associated Press | From Page: A6

Official: SD man kills 4, including self, wounds 1

By The Associated Press | From Page: A7

 
Pope meets with autistic children

By The Associated Press | From Page: A7

Biden announces new aid for Syrian refugees

By The Associated Press | From Page: A9

 
AP sources: Obama broadens mission in Afghanistan

By The Associated Press | From Page: A9

Somalia’s al-Shabab kills 28 non-Muslims in Kenya

By The Associated Press | From Page: A9, 1 Comment

 
Kerry says gaps remain in talks about Iran’s nukes

By The Associated Press | From Page: A9

Iraqi forces, Islamic State group battle in Ramadi

By The Associated Press | From Page: A10

 
Japan earthquake collapses homes, causes injuries

By The Associated Press | From Page: A10

.

Opinion

 
State Capitol braces for budget battle

By Dan Walters | From Page: A8

 
Editorial Cartoon: Nov. 23, 2014

By Daily Republic Syndicated Content | From Page: A8

 
Act of kindness at Raiders game

By Letter to the Editor | From Page: A8, 3 Comments

.

Living

Today in History: Nov. 23, 2014

By The Associated Press | From Page: A2

 
Community Calendar: Nov. 23, 2014

By Susan Hiland | From Page: A2

Give the gift of gratitude this holiday season

By Dalia Adams | From Page: C3

 
Buddhist community builds shrine in Pineville yard

By The Associated Press | From Page: C3

Caught up in the spirt of the music

By The Associated Press | From Page: C3

 
Hackers can get into everything, including your camera lens

By Kathy Mitchell and Marcy Sugar | From Page: C4

Horoscopes for Nov. 23, 2014

By Holiday Mathis | From Page: C4

 
Library project puts 50 years of yearbooks online

By The Associated Press | From Page: C6

Metrosexuals be gone: Europe is agog for beards

By The Associated Press | From Page: C6

 
Graphic novel teaching history at Mississippi schools

By The Associated Press | From Page: C6

.

Entertainment

PUBLISHERS WEEKLY BEST-SELLERS

By The Associated Press | From Page: C2

 
Lamott offers healing words in ‘Small Victories’

By The Associated Press | From Page: C2

Eddie Izzard has book deal

By The Associated Press | From Page: C2

 
Whoopi Goldberg writing book about marriage

By The Associated Press | From Page: C2

Bryan Cranston reads profane hit nursery rhyme

By The Associated Press | From Page: C2

 
TVGrid

By Daily Republic Syndicated Content | From Page: B11

.

Sports

49ers host Redskins looking for third straight win

By The Associated Press | From Page: B1 | Gallery

 
Cousins lifts sluggish Kings over Wolves, 113-101

By The Associated Press | From Page: B1

Stanford routs rival Cal 38-17 in 117th Big Game

By The Associated Press | From Page: B1

 
Sacramento State downs UC Davis 41-30

By The Associated Press | From Page: B1

 
Vermette nets winner for Coyotes vs. Sharks

By The Associated Press | From Page: B2

Green says he’s ready to return to lineup for Broncos

By The Associated Press | From Page: B2

 
Bills practice in Detroit prepping for Jets game

By The Associated Press | From Page: B2

No. 4 Duke tops Stanford to win Coaches vs Cancer

By The Associated Press | From Page: B2

 
Vacaville Christian’s Kenyon voted Sierra Delta League MVP

By Daily Republic staff | From Page: B2

 
Suzy Whaley becomes 1st female officer at PGA

By The Associated Press | From Page: B2

Giants World Series exhibit goes on display Monday

By The Associated Press | From Page: B2

 
Oklahoma’s Perine runs for record 427 yards

By The Associated Press | From Page: B3

 
Rivalry 150 goes to Lafayette, 27-7 over Lehigh

By The Associated Press | From Page: B3

Harvard beats Yale 31-24 in The Game

By The Associated Press | From Page: B3

 
Bowling results for Sunday, Nov. 23, 2014

By Daily Republic | From Page: B4

Bocce results for Sunday, Nov. 23, 2014

By Daily Republic | From Page: B4

 
Bicycle racing for Sunday, Nov. 23, 2014

By Daily Republic | From Page: B4

Granada clings to 1-shot lead at LPGA finale

By The Associated Press | From Page: B4

 
Swiss lead France 2-1 in Davis Cup final

By The Associated Press | From Page: B4 | Gallery

 
This date in sports history for Sunday, Nov. 23, 2014

By The Associated Press | From Page: B5

.

Business

 
Tips on getting deals during Black Friday blitz

By The Associated Press | From Page: B7

Most US unemployed don’t get benefits: Here’s why

By The Associated Press | From Page: B7

 
Businesses cash in as women chase bigger butts

By The Associated Press | From Page: B7

At a Glance: Pros, cons of mobile-payment systems

By The Associated Press | From Page: B12

 
Review: No cash, cards, just mobile pay for a week

By The Associated Press | From Page: B12

Recalls this week: strollers, candles, chargers

By The Associated Press | From Page: B12

 
.

Obituaries

Leslie “Esi” Gros

By Nancy Green | From Page: A4

 
Norah Dean

By Nancy Green | From Page: A4

Florentina R. Dulay Florendo

By Susan Hiland | From Page: A4

 
Albert M. Ranzani

By Susan Hiland | From Page: A4

Arthur Irving Weiner

By Nancy Green | From Page: A4, 1 Comment

 
.

Comics